Provider Demographics
NPI:1639108913
Name:TRANQUILITY COUNSELING, INC.
Entity Type:Organization
Organization Name:TRANQUILITY COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUMMELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCMH
Authorized Official - Phone:302-733-0700
Mailing Address - Street 1:226 W PARK PL
Mailing Address - Street 2:SUITE 6
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-4565
Mailing Address - Country:US
Mailing Address - Phone:302-733-0700
Mailing Address - Fax:302-733-0701
Practice Address - Street 1:226 W PARK PL
Practice Address - Street 2:SUITE 6
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-4565
Practice Address - Country:US
Practice Address - Phone:302-733-0700
Practice Address - Fax:302-733-0701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000337101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000036045Medicaid